Navigation Links
Synthetic, dissolving plates ease repairs of nasal septum defects
Date:1/18/2010

Attaching cartilage to plates made of the resorbable material polydioxanone appears to facilitate corrective surgery on the nasal septum, the thin cartilage separating the two airways, according to a report in the January/February issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

Conventional septoplasty, or surgery to straighten a deviated septum, is not always possible because the surgical manipulations involved weaken the septal cartilage, according to background information in the article. "For decades, the inner nose remained untouched in nasal septal surgery because of these problems, and plastic surgeons attempted to correct only the nasal septum regions visible from the outside," the authors write. "Only in the past 40 years have surgical innovations allowed correction of cosmetic and functional deformities in a single session."

However, these procedures are sometimes ineffective in complex cases; it is difficult to strengthen the cartilage enough to support the structure of the nose without compromising cosmetic or functional concerns. To resolve these issues, Miriam Boenisch, M.D., Ph.D., then of District Hospital Steyr, Steyr, Austria, and now of Medicent Linz, Linz, Austria, and Gilbert J. Nolst Trenit, M.D., Ph.D., of the Academic Medical Center of the University of Amsterdam, report on the use of resorbable polydioxanone plates during septoplasty. Cartilage is removed from the septum and sutured to a polydioxanone plate cut to the same size. This combined graft is then re-implanted.

The procedure was performed on 396 patients beginning in 1996. Results were evaluated by patient report, photographs and measurements of nasal function at follow-up examinations periodically after surgery (patients were followed for an average of 12 months and a maximum of 10 years). No immediate complications such as bleeding, inflammatory reactions or tissue death occurred, nor were there long-term complications such as perforation or thickening of the septum or rejection of the implant.

A straight nasal septum was achieved in 369 patients (93.2 percent), and the same number reported improvement of the nasal airway. Two months after surgery, nasal function testing showed improved nasal flow in 324 patients (81.8 percent).

Eighteen patients (4.5 percent) required revision surgery to correct redeviation or other slight deformities. In eight (2 percent), the septum was displaced again but did not cause functional problems or the patients did not want revision surgery.

"Surgical correction of a deviated nasal septum is one of the most frequently performed surgical procedures," the authors write. Of an average of 1.2 cases per 1,000 North American and European individuals, about 90 percent of the surgical procedures are routine. The other 10 percent require complex correction. "The use of resorbable polydioxanone plate facilitates this surgical technique."

"To date, we have encountered no short- or long-term complications as a consequence of the use of polydioxanone plate," they conclude. "The use of polydioxanone plate during septal surgery facilitates external septoplasty, corrects several combined nasal deformities such as post-traumatic and iatrogenic [medically induced] irregularities and avoids postoperative saddle nose deformity, without risk to the patient."


'/>"/>

Contact: Miriam Boenisch, M.D., Ph.D.
miram.boenisch@nasenchirurgie.at
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. MonoSol Rx Announces FDA Acceptance of NDA for Ondansetron Orally Dissolving Film Strip
2. MonoSol Rx and Strativa Pharmaceuticals Submit New Drug Application for Ondansetron Orally Dissolving Film Strip
3. Consumer Safety Alert on Fat Dissolving Injections
4. T-System Updates Free Clinician H1N1 Templates to Latest CDC Guidelines, Adds Discharge Instructions
5. T-System Releases Free Clinician Swine Flu Templates, Incorporating Updated CDC Interim Guidelines for Diagnosis and Treatment
6. Personalized Plates for Picky Palates: Moms can Satisfy all With One Recipe, Four Ways
7. Long-term outlook good for rotator cuff repairs
8. Several New 5th Generation iPod Video Repairs Announced Today
9. Stem cell regeneration repairs congenital heart defect
10. Wildcat Power Cord Repairs Cruciate Ligament in Dairy Cows Knee
11. Nearly 5 Million Doses of Nasal Swine Flu Vaccine Recalled
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can now ... and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings ... The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. ... from injury. Recently, he has implemented orthobiologic procedures as a method for treating ... one of the first doctors to perform the treatment. Orthobiologics are substances that ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort ... holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain ... Disease (SCD) is a disorder of the red blood cells, which can cause episodes ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... The Grove Investment Group (TGIG), has initiated cultivation and processing operations at its ... Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... 23, 2016  In a startling report released today, National ... by lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... of how states are tackling the worst drug crisis in recorded ... – Kentucky , New Mexico ... . Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... 52" report to their offering. ... creates a favourable commercial environment for MedImmune to enter. The ... that will serve to drive considerable growth for effective anti-influenza ... to cap sales considerably, but development is still in its ...
Breaking Medicine Technology: